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HomeCare Matters

May 2019

"I Want to Go Home"
Three Ways to Respond 

Hearing your loved one say “I want to go home” over and over again is something dementia caregivers often deal with. It’s especially frustrating to hear when they’re already home. The challenge is how to respond in a way that calms them down and helps them let go of the idea.
 

Why someone would ask to go home

For most of us, home is the place where we feel the most comfortable, safe, and accepted. Many experts say that people with dementia are trying to express that they need the feeling of ultimate safety, comfort, and control. That’s what “home” means to them.

Dementia and other neurological diseases damage the brain and cause a person to experience the world in different ways. The kindest thing to do is meet them where they are, focus on comfort and reassurance, and respond to the emotions behind their request.

These suggestions will help you get started, but be prepared to get creative too. Not everything you try will work the first time. And even if something works once, it might not work every time. Don’t get discouraged – this will get easier with practice.
 

Three kind, calming responses 

1. Reassure and comfort
Approach your older adult with a calm, soothing, and relaxed manner. If you remain calm, they’ll start calming down too. They’ll pick up on your body language and tone of voice and will subconsciously start to match you.

Sometimes saying “I want to go home” is how they tell you they’re tense, anxious, scared, or in need of extra comfort. If they like hugs, this is a good time for one. Others may prefer gentle touching or stroking on their arm or shoulder or simply having you sit with them. Another way of giving extra comfort and reassurance is to give them a comforting blanket, therapy doll, or stuffed animal.

2. Avoid reasoning and explanations
Don’t try to explain that they’re in their own home, that assisted living is now their home, or that they moved in with you three years ago.

Trying to use reason and logic with someone who has a brain disease will only make them more insistent, agitated, and distressed. They won’t be able to process that information and will feel like you’re stopping them from doing something they know is important.

3. Agree, then redirect and distract
Being able to redirect and distract is an effective technique. It’s a skill that improves with practice, so don’t feel discouraged if the first few attempts don’t work perfectly.

First, agree and validate – agree by saying something like “Ok, we’ll go soon.” or “That’s a good idea. We’ll go as soon as I clean up these dishes.” This calms the situation because you’re not telling them they’re wrong.

Next, redirect and distract – after agreeing, subtly redirect their attention. This redirection should lead into pleasant and distracting activities that take their minds away from wanting to go home.

Or, ask them to tell you about their home. Asking about their home validates their feelings, encourages them to share positive memories, and distracts them from their original goal of going home. Open questions that encourage them to share their thoughts work well.

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Need help for yourself or someone in your care?

For more information, call us at (855) 867-4692 or click here for more about EveryStep Hospice or home care options.

EveryStep’s hospice and home care programs provide care and support to patients, family members and their caregivers through chronic or serious illness, recovery or rehabilitation. Our experienced and compassionate staff can assist family caregivers in understanding the importance of nutrition, exercise, social ties, mental and spiritual health, and how all these things can contribute to well-being for individuals of all ages.

Get To Know Our Nurses 

Creston Home Care Nurse Amy Overhake

 

Amy Overhake's journey to being a nurse took a few detours. In fact, the EveryStep Home Care nurse in Creston started out in an entirely different field: cosmetology.

After graduating high school, Overhake headed to cosmetology school and worked in the industry for five years.

"I decided I was meant to be doing more," she said. "I didn’t always know nursing was for me but my mom struggled so much with her health growing up, I wanted to know everything the doctors were talking about."

That's when she made the decision to quit doing hair and begin her prerequisites to become a licensed practical nurse (LPN). She graduated in 2010 and began working in that capacity for a few years, before deciding to go back for her registered nurse (RN) license.

Over the course of her nursing career, Overtake has worked in several medical settings, including long-term care, clinics, and hospitals.

"I love bits of all of the different nursing but what I really needed was flexibility, as I have four active children. I had heard working in home care would be flexible so I took the leap and applied," she says of finding EveryStep Home Care in Creston. 

In her role, she visits patients in their homes across eight counties served by the Creston team, helping them recover from injury or illness, or live with chronic conditions.

While the flexibility of the job may have drawn Overhake in, her patients and team members keep her in home care.
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From its locations in Des Moines and Creston, EveryStep Home Care offers in-home care and support to patients recovering from illness or injury.

EveryStep Home Care is offered in 16 Iowa counties: Polk, Union, Dallas, Jasper, Boone, Story, Marshall, Adair, Madison, Warren, Marion, Adams, Clarke, Taylor, Ringgold and Decatur counties.

To learn more, call EveryStep Home Care at 515-558-9591 or visit everystep.org.

Honoring Our Veterans 

Our veteran patients and their families may choose to take part in a Veteran “pinning” ceremony during their time in our care.

These special ceremonies provide honor, dignity and recognition to veterans at the end of their lives. Family members and friends are often on hand with EveryStep staff and volunteers during the celebratory events.  

As part of the ceremony, veterans receive a small American flag to keep. In the past, this flag was provided as a stand-alone commemorative piece that families and patients could choose to do with as they wished. 

Recently, several of our Veteran-to-Veteran volunteers decided it was time to provide patients and their families with a way to proudly display their new flag. 

EveryStep volunteers Jim Donlan and Chuck Jennisch donated their time, materials and talents to craft 100 flag pedestals to do just that. The woodworkers created oak flag pedestals affixed with small “We Honor Veterans” placards provided by the EveryStep Foundation.

Earlier this month, Vietnam veteran and EveryStep Hospice patient, Ken Holm was honored during a veteran pinning ceremony at Kavanagh House on 56th Street. During the presentation, Donlan, also a Vietnam veteran, gifted Holm with the small flag and new pedestal. 

The new displays have been distributed to all EveryStep Hospice locations for use in future veteran pinning ceremonies. 

Please contact EveryStep Home Care if you or your loved one answer “yes” to two or more of the following questions:

  • Have you or your loved one been recently hospitalized?
  • Were you or your loved one diagnosed with a new illness or disease?
  • Have you or your loved one had a recent medication change?
  • Do you or your loved one need physical, occupational or speech therapy services?
  • Are you or your loved one at risk for falls?
  • Do you or your loved one have concerns with safety at home?
Let us help you today. Our team of professionals are with you at every step, visiting you or your loved one in the comfort of home.
Click here for more information about EveryStep Home Care

Upcoming Events 

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EveryStep care & support services: We are a family of non-profit health care and support services offering compassion and guidance during life's most challenging moments.
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